Implementation of the Inter-facility Protocol Including a Company, a Health Insurance Organization, and a Health Check-up Facility Could Improve a Completion Rate of Specific Health Guidance, the Dietary and Exercise Educational Program Provided under the Workplace Annual Health Check-up for a High-risk Group of Metabolic Syndrome, to Nearly One Hundred Percent in a Large-scale Group Organization

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  • Sonoda Hiroshi
    Keijinkai Maruyama Clinic, Keijinkai Medical Group Occupational Health Assistance Center, Keijinkai Health Insurance Union Department of Public Health, Hokkaido University Graduate School of Medicine
  • Kimura Reiko
    Occupational Health Assistance Center, Keijinkai Health Insurance Union
  • Yanagisawa Yoko
    Occupational Health Assistance Center, Keijinkai Health Insurance Union General Affairs and Human Resource Division, Keijinkai Medical Group
  • Kawaida Yoshifumi
    Occupational Health Assistance Center, Keijinkai Health Insurance Union General Affairs and Human Resource Division, Keijinkai Medical Group
  • Taniguchi Naoyuki
    Occupational Health Assistance Center, Keijinkai Health Insurance Union
  • Fujii Hiroyasu
    Occupational Health Assistance Center, Keijinkai Health Insurance Union
  • Nakata Yuko
    Keijinkai Maruyama Clinic, Keijinkai Medical Group
  • Yoneya Michiko
    Keijinkai Maruyama Clinic, Keijinkai Medical Group
  • Sakamoto Yasuko
    Occupational Health Assistance Center, Keijinkai Health Insurance Union Keijinkai Social Welfare Group
  • Sai Shuji
    Occupational Health Assistance Center, Keijinkai Health Insurance Union Teine Keijinkai Hospital, Keijinkai Medical Group

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Other Title
  • 事業主，健康保険組合，健康診断施設が三位一体となった特定保健指導プロトコルは，大規模事業所の指導実施率を100％近くまで上昇させる
  • ジギョウヌシ,ケンコウ ホケン クミアイ,ケンコウ シンダン シセツ ガ サンミイッタイ ト ナッタ トクテイ ホケン シドウ プロトコル ワ,ダイキボ ジギョウショ ノ シドウ ジッシリツ オ 100%チカク マデ ジョウショウ サセル

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<p>Objective: We investigated the effectiveness of implementation of an inter-facility protocol including a company, a health insurance organization, and a health check-up facility for improving the completion rate of Specific Health Guidance, the dietary and exercise educational program provided under the workplace annual health check-up for a high-risk group of metabolic syndrome, in a large-scale group organization.</p><p>Methods: We summarized the steps and activities taken by the project for improving the completion rate of Specific Health Guidance from 2017 to 2020, for developing the protocol. Our protocol includes three main steps: 1) an inter-facility team development and project planning, 2) consensus building among stakeholders and a leader, 3) inter-facility cooperation by divisions of a company, a health insurance organization, and a health check-up facility. The outcomes were defined as annual completion rates of selected participants and were compared with those of 2017.</p><p>Results: The completion rates of Specific Health Guidance were increased from 6.4% to 93.6% in three years.</p><p>Conclusions: The inter-facility protocol including a company, a health insurance organization, and a health check-up facility could improve the completion rate of Specific Health Guidance to nearly one hundred percent in a large-scale group organization.</p>

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